Active NPI
Gary M Kiefer, DC
- Chiropractor
- Watertown, SD
National Provider Identifier
1366412785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 600
- Practice address
- 808 2ND St SW
Watertown, SD 57201-4717 - Phone
- (605) 886-4951
- Fax
- (605) 886-6004
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 600 | SD | Primary |
Addresses
Primary practice location
808 2ND St SW
Watertown, SD 57201-4717
Mailing address
808 2ND St SW
Watertown, SD 57201-4717
Phone (605) 886-4951
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241881 | Other | SD | MIDLANDS CHOICE INSURANCE |
| 3396 | Other | SD | AVERA HEALTH INSURANCE |
| 22150 | Other | SD | SIOUX VALLEY HEALTH INS. |
| 0080605 | Other | SD | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiefer Chiropractic Clinic, P.L.L.C. | Chiropractor | Past | Accepting new patients |
| Konstant Chiropractic Clinic, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Watertown, SD
- NPI 1760659403
-
- Chiropractor
- Watertown, SD
- NPI 1063981546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1366412785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 2ND ST SW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014717",
"telephone_number": "605-886-4951",
"fax_number": "605-886-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 2ND ST SW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014717",
"telephone_number": "605-886-4951",
"fax_number": "605-886-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "GARY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE INSURANCE",
"identifier": "241881",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA HEALTH INSURANCE",
"identifier": "3396",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH INS.",
"identifier": "22150",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0080605",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.